Jonathan Ross Lish, R.PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

S025295 Issued in AZ

Practice address

3490 N Stockton Hill Rd
Kingman, AZ 86409-3680

Phone

(928) 757-2544

NPI assigned

Sep 14, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Smiths Food & Drug Centers Inc

  dba Smiths Pharmacy #190

  • Community/Retail Pharmacy
  • Kingman, AZ
  • NPI 1073538690
  NPD (past)
• Smith's Food & Drug Centers Inc

  dba Smith's Pharmacy #303

  • Community/Retail Pharmacy
  • Henderson, NV
  • NPI 1881585248
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1871263764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 N STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093680",
            "telephone_number": "928-757-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 N STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093680",
            "telephone_number": "928-757-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISH",
        "first_name": "JONATHAN",
        "middle_name": "ROSS",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S025295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jonathan.lish@stores.sfdc.com",
            "affiliation": "N",
            "address_1": "3490 N Stockton Hill Rd",
            "city": "Kingman",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "864093680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica D Lewis
• Kelly Jo Lewis, NURSE PRACTITIONER
• Lifefit Physical Therapy and Rehab Specialists, LLC
• Lights on Psychiatry
• Jon C Lindsay, D.D.S
• Yu Liu, PHARM.D
• Zhao Liu, MD
• Rachel L Logan, DO
• Brian J Long, BA
• Jessica Long, FNP-C

• Pharmacist in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.